改良鼻胆管引流术结合中药冲洗在临床应用中的价值

Application Value of Endoscopic Nasal Biliary Drainage Combined with TCM Washing

目的:探讨内镜下改良鼻胆管引流术结合中药冲洗在临床的应用价值。方法:将100例行鼻胆管引流术后患者,按随机数字表法分为传统组和改良组,每组50例,传统组给予甲硝唑药液,分离鼻胆管与引流袋接注射器手动冲洗。改良组通过改良鼻胆管结合中药冲洗液,改用密闭式,应用微量注射泵匀速冲洗,观察2组患者引流效果及不良反应。结果:2组引流期间恶心、呕吐,鼻咽部不适,腹痛、腹胀,引流管堵塞、脱出及因冲洗引起的不良反应的发生率,改良组低于对照组,差异有统计学意义(P<0.05)。结论:在鼻胆管引流冲洗中应用密闭式注射泵匀速冲洗技术结合中药冲洗,可减轻引流中患者不适,并有效减少引流不良反应及并发症,并且方便医护人员使用,节省人力。

Objective ： To explore the clinical application value of the endoscopic nasal biliary drainage combined with traditional Chinese medicine washing. Methods ： 100 cases of nasal biliary drainage after operation patients were randomly divided into conventional group and improved group, 50 cases in each group. The conventional group received metronidazole solution, separating nasal bile duct and drainage hag connected with an injector manual flushing. The improved group was treated by modified nasal bile duct combined with traditional Chinese medicine washing liquid. Two groups were observed drainage effect and adverse reaction. Results ： Regarding to incidence of nausea, vomit, nasopharynx discomfort, abdominal pain, abdominal distension, blockage of drainage tube, prolapse and adverse reactions caused by flushing during drainage period, the improved group had lower incidence compared to control group and the difference was statistically significant （ P〈0.05 ）. Conclusion ： The nasobiliary drainage combined with traditional Chinese medicine washing can reduce the drainage discomfort in patients and the adverse reactions and complications of drainage, and it is convenient for medical personnel to use, saving manpower.